| NPI | 1356105621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA-SARPONG SARPONG Owner 704-338-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-04-26 |