| NPI | 1891629267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEANTIE STOVER Owner 704-449-4716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-06-10 |