| NPI | 1124570908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BEATY CLONINGER Director Owner 704-864-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 6008703) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |