| NPI | 1356891113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA SUMMERS CEO/Executive Director 704-548-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A10494) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |