| NPI | 1790167062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE MINGO President 704-258-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |