| NPI | 1780135681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ADEDOKUN Director 704-732-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C005215) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 795) |
| 1041C0700X Social Worker, Clinical (Licence: NC CD07873) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC NC1809906) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |