| 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 |