| NPI | 1588446876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINIQUA M LEE Owner/Member 704-981-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-10-21 |