| NPI | 1427638584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WRIGHT EGLESTON Therapist 704-659-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |