| NPI | 1306919188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA MCLAMB Chief Finance Officer 704-296-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-090-069) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-09-03 |