| NPI | 1659678787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE INEZ DOMINGUEZ President/CEO 704-832-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2023-02-08 |