| NPI | 1992518971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HEATH Office Manager 704-726-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |