| 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 |