| NPI | 1023184629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH MARTIN Director Of Operations 704-865-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251B00000X Case Management | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| 253J00000X Foster Care Agency | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 101YP2500X Counselor Professional | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-06-10 |