| NPI | 1417521048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FOUTS CARROLL Operations Manager 704-987-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-01-24 |