| NPI | 1316748379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRIS RORIE Owner 704-776-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-11-03 |