| NPI | 1861796179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY YOUNG CAMP Executive Director 704-535-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 111204) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |