| NPI | 1770718983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIA HOWARD CEO 704-975-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |