| NPI | 1912241993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MONIQUE SHERRILL Owner 704-686-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-08-13 |