| NPI | 1043555659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYA SABRIYA BOSS Owner 704-651-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-13 |