NPI | 1841866068 |
---|---|
Entity Type | Organization |
Authorized Contact | TRASHA J BLACK Executive Director 704-596-0505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 207Q00000X Family Medicine |
251B00000X Case Management | |
251C00000X Day Training, Developmentally Disabled Services | |
251S00000X | |
251V00000X Voluntary or Charitable | |
261Q00000X Clinic/Center | |
261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QP2300X Clinic/Center, Primary Care | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
261QR1300X Clinic/Center, Rural Health | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-05-28 |
Last Update Date | 2021-05-28 |