| NPI | 1649032459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SIMONE MCINTYRE CEO/Owner 704-473-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |