| NPI | 1518097716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMICO GRAHAM Owner/Cco 704-957-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-11-27 |