| NPI | 1093681876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE MERCK Qualified Professional 704-267-1368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |