| NPI | 1346081874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMILL WHISNANT Chief Executive Officer 704-718-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |