| NPI | 1043826654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ENOCH Owner 704-807-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QR0800X Clinic/Center Recovery Care | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |