| NPI | 1093681876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MERCK Owner 704-267-1368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2026-04-08 |