| NPI | 1558177659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY GRAHAM Chief Clinical Officer 704-247-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |