| 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 |