| NPI | 1558842583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRA SALLEY Owner 704-310-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22452) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-10-25 |