| NPI | 1629101225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G PAYTON Executive Director 704-525-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-060-996) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |