NPI | 1740557164 |
---|---|
Entity Type | Organization |
Authorized Contact | DEMETRIUS CRAYTON CEO 704-956-3062 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
251S00000X | |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |