| NPI | 1871376434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA CHANTE KNOTTS Owner 704-326-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-11-15 |