| NPI | 1578851580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L MELENDEZ Owner 704-732-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 2008-01590) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |