| NPI | 1346061074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LEVINE Owner/Provider 704-897-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |