| NPI | 1720192107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY S COMBS Director 704-378-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-10-16 |