| NPI | 1659959054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K DEVONNE DANDRIDGE Owner 704-900-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 171100000X Acupuncturist | |
| 175T00000X Peer Specialist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-08-12 |