| NPI | 1306582044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL A ONAFOWOKAN Medical Director 704-366-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |