| NPI | 1912316910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER YOUNG Division Director 704-315-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 111204) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |