| NPI | 1760734495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN JASPER Director Of Operations 704-910-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |