| NPI | 1760616296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY WILLIAM NICHOLS Owner/CEO 704-607-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C003021) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |