| NPI | 1467857110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE B MCCLOUD Co Owner 704-998-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002962) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: NC 7687) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |