| NPI | 1902179294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNON GRAHAM CEO 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2025-08-29 |