| NPI | 1780337337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HEILIG Chief Executive Officer 704-305-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-16 |