| NPI | 1255999165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE SUTTON CEO 704-864-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 253J00000X Foster Care Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |