NPI | 1811566938 |
---|---|
Entity Type | Organization |
Authorized Contact | WARRICK TREMAYNE STEWART CEO 704-901-4916 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2021-06-22 |