| NPI | 1659959054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K DEVONNE DANDRIDGE Owner 704-900-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2022-10-21 |