| NPI | 1275427783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNA CELESTE WILSON Lcas 704-967-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |