| NPI | 1477807535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F THOMAS Director 704-374-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7046) |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2012-10-28 |