| NPI | 1730964321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI SQUIRES SINGLETON Owner/Member 704-904-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-09-18 |