| NPI | 1659259943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOORE Owner 704-300-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |