| NPI | 1679718910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C JONES CEO 704-563-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL077051) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |