| NPI | 1154964062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE THRASHER Treasurer 704-593-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |