| NPI | 1912129560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS TURNES Administrator 704-484-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL023042) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |