| NPI | 1851775613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA ELLIS Executive Director 704-999-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC C005951) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: NC C005951) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC C005951) | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2015-07-11 |