| NPI | 1659558922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA B CHILDERS Director Of Revenue Cycle Managemen 704-332-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-049-101) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-049-101) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-06-23 |