| NPI | 1760787931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President/CEO 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 050-055) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |