| NPI | 1871257477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN MILES CEO 704-777-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2024-10-30 |