| NPI | 1588411383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FOUTS CARROLL Operations Manager 704-987-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |