| NPI | 1710155890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA ATUESTA Owner 704-786-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC In process) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |