| NPI | 1811237365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA LENA VINSON-NNAJI CEO 704-619-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NC 101YP2500X) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |