| NPI | 1013592955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MICHELLE COLLMAN-MURPHY Owner/Treasurer 704-307-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |