| NPI | 1407259179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE D ALLGOOD Program Director/ Owner 704-997-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |