| NPI | 1255569075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON THORTON Owner/Executive Director 704-236-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |