| NPI | 1033902358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWAYNE ANTONIO FREEMAN CEO 704-631-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-09-05 |