NPI | 1871066019 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY PARKER Owner 704-548-1328 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2019-01-10 |
Last Update Date | 2023-08-20 |