| NPI | 1518637693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN DAVID DALRYMPLE CEO Owner 704-906-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |