| NPI | 1437963154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN EDWARDS CEO 704-606-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-07 |