| NPI | 1467763631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 029 118) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |