| NPI | 1154466811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA PRINGLE Clinical Counselor 704-532-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 680) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |