| NPI | 1932725884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY HAMILTON Owner 704-245-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |