| NPI | 1497527683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA KING Owner 828-779-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-03-14 |