| NPI | 1982413258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SIMMONS-DOUGLAS President 704-430-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |