| NPI | 1669885364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS CRAYTON CEO 704-956-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |