| NPI | 1598069171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANN THOMAS Clinical Director/CEO 704-405-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2019-11-07 |