NPI | 1750608568 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BIDGOOD President 704-968-7557 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2010-05-03 |
Last Update Date | 2023-06-21 |