| NPI | 1144541277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI T ELLISON Executive Director/Member 704-484-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |