| NPI | 1972046027 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHERYL ANDREWS CEO 980-999-3405  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11153)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20298)  | |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2016-11-22 | 
| Last Update Date | 2025-04-04 |