| NPI | 1558844316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNETTE HOWARD Executive Director 704-852-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2021-12-06 |