| NPI | 1255640645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY MILLNER-CATHCART Operations Officer 704-536-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 291U00000X Clinical Medical Laboratory | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2023-09-20 |