| NPI | 1306694278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE SUMMERS CEO 704-231-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |