| NPI | 1952544116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE CARLTON MOBLEY Owner 704-579-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |