| NPI | 1861941049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH O ADEDOKUN Director 704-732-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |