| NPI | 1811137474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY LOUISE MOSS CEO/Executive Director 704-493-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |