| NPI | 1841057130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEMA OWENS Agent 704-763-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 164W00000X Licensed Practical Nurse | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |