| NPI | 1588240204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA IVELIZ GONZALEZ CEO 704-954-9358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-10-25 |