| NPI | 1609399195 |
|---|---|
| Other Name | LAKE NORMAN TREATMENT ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | HANNAH TUTTLE Owner 980-439-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 13263) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2637) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |