| NPI | 1811763501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS JONES Dual Diagnosis Therapist 704-615-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-28 |