| NPI | 1801933528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JOSEPH LESSANE VP Finance 704-701-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-060-822) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-09-12 |