| NPI | 1053535369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISIL BURGOS Qa Qi Director 704-537-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management (Licence: NC 8301186) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-03-24 |