| NPI | 1740579549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAL VENICE PEOPLES Clinical Director/Owner 704-449-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1429) |
| 251S00000X (Licence: NC C006557) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2015-01-13 |