| NPI | 1063235919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALIMAR ROSE CEO 704-685-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |