| NPI | 1003659574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BENSON Director Of Compliance 704-246-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |