NPI | 1952747826 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK MARCELLOUS PHILLIPS Executive Director/CEO 704-392-9220 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-060-166) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2013-05-17 |