| NPI | 1629806443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO FOXX Owner 704-970-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2025-01-07 |