| NPI | 1841840386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE SUTTON CEO 704-884-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 253J00000X Foster Care Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2022-08-04 |