| NPI | 1255703039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SPRINGS CEO 704-819-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6054) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 6054) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6054) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |