| NPI | 1225503527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRICK TREMAYNE STEWART CEO 704-901-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |