NPI | 1841803038 |
---|---|
Doing Business As | ELIJAH RESTORATION COUNSELING |
Doing Business As | PROJECT RESTORATION |
Entity Type | Organization |
Authorized Contact | ELLIS R. BUTLER Executive Director/Therapist 704-738-3655 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |