| NPI | 1750814679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DENISE GOMEZ Chief Executive Officer 704-904-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |