| NPI | 1053836981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRICK STEWART President 704-901-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |