NPI | 1639554819 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA WHITLEY Credentialing Manager 704-699-8042 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 32172) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |