| NPI | 1093756819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SNIDER Executive Director 704-376-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-060-1079) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC mhl-060-1079) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-060-1079) | |
| 101YM0800X Counselor, Mental Health (Licence: NC MHL-060-1079) | |
| 251K00000X Public Health or Welfare (Licence: NC MHL-060-014) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-07-21 |