| NPI | 1396186128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANA DODSON SIMS CEO 704-630-6634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-03-02 |