| NPI | 1770994485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA BRANON Clinical Director 704-537-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 562272590) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |