NPI | 1588704589 |
---|---|
Entity Type | Organization |
Authorized Contact | LA TANYA D HARDY Executive Director, Owner 704-780-8713 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |