| NPI | 1093042442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SHINN PATTERSON Owner, Counselor 704-658-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1516) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7439) |
| 101YM0800X Counselor, Mental Health (Licence: NC 7439) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |