| NPI | 1609994979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES UKAOMA Director Of Clinical Operations 704-712-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4813) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-11-08 |