| NPI | 1861635310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M GIBBS Owner 704-965-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2012-06-29 |