| NPI | 1407498801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIERRE ARMAN'D DIKAHA Owner/Counselor 704-301-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |