| NPI | 1710620620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIYYA MARTIN Member/Founder 704-288-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-05-25 |