| NPI | 1780958124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN T WATSON Owner 704-252-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1472) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |