| NPI | 1336405034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA WIRTH Executive Director 704-597-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-060-1121) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-05-21 |