| NPI | 1124525845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE NICOLE EATMAN Owner/Therapist 704-550-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8673) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2626) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |