| NPI | 1194959197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERB GRAY Owner 704-342-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2010-04-15 |