| NPI | 1609464726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MARIE ZORDANO Mental Health Clinician 704-682-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-12 |