| NPI | 1083150353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SAUNDERS Owner 704-806-6729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10313) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS20180) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-02-20 |