| NPI | 1952668857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY MICHELLE WILEY Owner/Executive Director 704-473-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |