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