| NPI | 1043570526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS WHITFIELD Director 704-280-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-09-28 |