| NPI | 1417132366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JEFFERY MASSEY CEO 704-225-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2013-03-22 |