| NPI | 1255177143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS ALLEN Tcm Supervisor 704-231-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-22 |