| NPI | 1467020701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MCISAAC Owner 828-214-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-02-11 |