| NPI | 1457707978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LONG President/CEO 704-322-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |