| NPI | 1063910701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CUMBERLANDER Owner 704-771-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |