| NPI | 1003798174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WILLIAM REVELS Owner 828-412-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |