| NPI | 1619574829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DURAND HANNA Owner, Counselor 704-517-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |