| NPI | 1770560732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A ODELL Executive Director 704-372-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 060-087) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2009-10-06 |