| NPI | 1639498884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HUGHES Co Owner 704-524-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA CSW003787) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |