| NPI | 1477892107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEPHALIS DELORIS GRAVES Certified Substance Abuse Counselor 704-281-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC 2024) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC 2024) |
| 253Z00000X In Home Supportive Care (Licence: NC 2024) | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |