| NPI | 1154448223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WILLIS Owner 704-614-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |