| NPI | 1689795965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREE DONELL FINGER President 704-732-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC MHL-055-104) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |