| NPI | 1649869207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD BLAKENEY Owner 704-201-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-08-09 |