| NPI | 1629198312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH P. PATEL Owner 704-854-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 9701100) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 9701100) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |