| 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 Community/Behavioral Health | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |