| NPI | 1619002631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FOLTZ CAHOON Billing Specialist 704-906-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8300220) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 6102034) |
| 101YM0800X Counselor, Mental Health (Licence: NC 8300220) | |
| 101YP2500X Counselor, Professional (Licence: NC 6102034) | |
| 251B00000X Case Management (Licence: NC 8300220) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-06-24 |