| NPI | 1538840285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN LEVIN Medical Director/Part Owner 704-783-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |