| NPI | 1487368742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI DE LA CRUZ SPENCER Employee 704-644-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |