| NPI | 1013532456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASHA BLACK President 704-596-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-11-27 |