NPI | 1346505617 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL AGNES NICHOLAS CEO/Director 704-377-5047 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 060 1242) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |