| NPI | 1831813351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA A MACK CEO 704-756-3991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |