| NPI | 1609464585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE EVANS Founder 704-907-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| 251S00000X | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-09-06 |