| NPI | 1538217831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DEVORE VP Corporate Compliance/Program Ops 704-944-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC mhl-060-007) |
| Additional Taxonomies | 251C00000X (Licence: NC MHL-060-007) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-09-06 |