| NPI | 1801115563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MICHELE GONZALEZ Executive Director 704-999-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4997) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |