| NPI | 1902487614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNON GRAHAM CEO 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2025-08-29 |