| NPI | 1922563923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-03-13 |