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 | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2022-10-21 |