| NPI | 1275120131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRICK TREMAYNE STEWART CEO 704-901-4916 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2020-12-27 |