| NPI | 1477331213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNELL TAMIKA MACKIE Operation Executive CEO 704-817-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 374K00000X |
| 376J00000X Homemaker | |
| 405300000X Prevention Professional | |
| 251B00000X Case Management | |
| 101YP1600X Counselor, Pastoral | |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 252Y00000X Early Intervention Provider Agency | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-02-15 |