| NPI | 1982093035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAL PEOPLES Climical Director 704-449-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 9764) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |