| NPI | 1043131055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISHA L ROSS CEO 704-606-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2026-07-24 |
| Last Update Date | 2026-07-24 |