| NPI | 1295977189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN IGWILO President/CEO 704-405-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 168760) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2011-07-29 |