| NPI | 1346994381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH AYALA President 704-201-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |