| NPI | 1346728870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYNEISIA CHRISCYNTHIA HERNDON CEO/President 704-670-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 6532) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |