| NPI | 1518508340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW R SMITH Owner & Therapist 704-954-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-10-02 |