| NPI | 1083952568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. FAULKNER Principle Member 828-231-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-07-24 |