| NPI | 1811019615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY R WEST Is Analyst 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-013-057) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-10-03 |