| NPI | 1902411499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ELIZABETH CAMERON-MATTHEWS President And CEO 704-936-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-07-21 |