| NPI | 1588524805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SUE ALLEN Director 704-300-7048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 252Y00000X Early Intervention Provider Agency | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-19 |