| NPI | 1609534064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WORTH President 704-957-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |