| NPI | 1639761810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET TORRES-ROBINSON CEO 704-208-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251S00000X | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |