| NPI | 1467766527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS CRAYTON Managing Partner 704-770-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 251B00000X Case Management | |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2016-12-06 |