| NPI | 1063039253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CORBIN President 704-319-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2024-03-27 |