| NPI | 1851696603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL PUIG Manager 704-597-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-10-23 |