NPI | 1003793415 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIAN GEOFFREY HARRIS President 704-441-0860 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2025-08-18 |
Last Update Date | 2025-08-19 |