| NPI | 1265047369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA OPALAK Director Of Business Operations 704-414-7239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |