| NPI | 1316534969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRICK TREMAYNE STEWART CEO 704-901-4916 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |