| NPI | 1548652969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA DENISE DAWSON Executive Director 704-712-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC PC10835) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |