| NPI | 1003069188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE FONGHEISER Owner 704-813-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 945) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |