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 Community/Behavioral Health | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-08-06 |
Last Update Date | 2023-01-30 |