| NPI | 1881627438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2025-10-01 |