| NPI | 1124894605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHINA DENISE DARDEN Director 704-968-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-12-06 |