| NPI | 1013073840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HARRISON Contract Mgr. 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-10-26 |