| NPI | 1336928993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA MCILWAINE President 704-340-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |