| NPI | 1407999410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANDA MONIQUE THOMPSON Executive Director 704-421-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-09-05 |