| NPI | 1902786635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L GREEN Board Member 704-258-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 1744G0900X Specialist Graphics Designer | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |