| NPI | 1952106361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA RIOS Vocational Rehabilitation Therapist 704-430-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |