| NPI | 1780969188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNISHA SADE CANNON Chief Executive Officer 704-923-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |