| NPI | 1396845004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PAUL OLIVER Director 704-491-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL 036-214) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-036-214) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management (Licence: NC MHL 036-214) | |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-036-214) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-036-214) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2021-02-09 |