| NPI | 1144311853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA B WISE President 704-720-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-013-124) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-07-09 |