NPI | 1497319131 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS PERCIVAL BROWN Director 704-939-9629 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |