| NPI | 1659760023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNON GRAHAM CEO 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P009117) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2025-08-29 |