| NPI | 1568652501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY HELEN JACKSON Pres/CEO 704-905-5577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6603584) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |