| NPI | 1669513073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MCNEAL Director Of Operations 704-865-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-023-078) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NC MHL-023-078) | |
| 251B00000X Case Management | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-01-07 |