| NPI | 1821499872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FASHENDA LITTLE-GERALD Operations Manager 704-577-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |