| NPI | 1740861061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BEATY CLONINGER Director Owner 704-864-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |