| NPI | 1962155887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HOUSTON CEO 704-628-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-10-23 |