| NPI | 1942162045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASTARRA MCDONALD Co Owner 704-819-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174200000X Meals | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |