| NPI | 1912479189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LOWERY Exective Director 704-616-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |