| NPI | 1285001966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN BLANKENSHIP Administrator 704-299-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |