| NPI | 1962769778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. CRYSTAL JOHNSON CEO 704-506-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1077648) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |