| NPI | 1902159445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA REBECCA DEMARY Co Director 704-639-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-080-135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC MHL-080-135) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |