| NPI | 1891854162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MARIE SHELTONPRIEK Clinical Director 704-639-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL080094) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-06-06 |