| NPI | 1942084223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRICK T STEWART CEO 704-901-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-31 |