| NPI | 1063885853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIERRE A. DIKAHA Owner/Counselor 704-301-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2019-10-17 |