| NPI | 1407219876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DENISE LEE Owner 704-680-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005199) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |