| NPI | 1700660966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MALONE Head Of Operations 704-885-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |