| NPI | 1285528778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ROSS Owner 704-231-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-08-13 |