| NPI | 1487217097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L FREELEY State Business Analyst & Contracts 704-344-0491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |