| NPI | 1104330497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY KIMBERLY CHESTNUT CEO/Owner 704-690-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |