| NPI | 1982597696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESHBABU RAMASUBBU CFO 704-953-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-17 |