| NPI | 1710126412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CHRISTIN LUKE Owner/President 704-576-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C004450) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |