| NPI | 1508992074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONDAH TIANGAI PARKINSON Owner,Clinical Director 704-507-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-07-01 |