| NPI | 1043528433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY C ALSTON WILSON CEO/President 704-361-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C001771) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 110971) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-11-08 |