| NPI | 1164077145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ADRIATICO Owner 704-201-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-01-30 |