| NPI | 1649783200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL AUTUMN JUNDA Office Manager 704-762-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25525) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-03-17 |