| NPI | 1790372464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ADRIANE LEWIS Owner 704-737-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-03-18 |