| NPI | 1932759818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL C. BOWEN Private Practice Owner 704-981-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-01-22 |