| NPI | 1942165048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAGINA MCCLINTON Owner 704-277-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |