| NPI | 1508982323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL086041) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-03-10 |