| NPI | 1598242794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANETTA ANTOINETTE ROSEMAN Owner 704-495-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A13649) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |