| NPI | 1639956659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN T THOMAS Director/Owner 704-297-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-08-18 |