| NPI | 1033707864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MAURICE MCIVER CEO 704-967-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251B00000X Case Management | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2022-03-25 |