| NPI | 1568748366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOHNSON Director Of Clinical Services 704-878-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 239823) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |