| NPI | 1255981627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ADAMS Owner 704-661-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-18 |