| NPI | 1306727334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIMA MORALES Pmhnp 704-421-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |