| NPI | 1245625813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N SMITH Owner 704-635-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 1837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QV0200X Clinic/Center, VA | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-10-26 |