| NPI | 1063924785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BOWMAN MCKINNEY Manager 828-263-6158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010375) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 2555) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-03-17 |