| NPI | 1851198386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOYCE LEE SMITH Director Of Clinical Operations 704-709-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |