| NPI | 1396373304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI CORBIN CEO 704-605-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2022-02-16 |