| NPI | 1952032898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAZHEDATEQUILA EUNICETAGE SANFORD Owner 704-689-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2026-02-04 |