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 |