| NPI | 1083256762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA AMANN Owner 704-575-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-29 |