| NPI | 1780348789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N SMITH Owner 704-609-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP2400X Clinic/Center Prison Health | |
| 261QV0200X Clinic/Center VA | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |