| NPI | 1114271640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL WEST CEO 704-918-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 225C00000X Rehabilitation Counselor | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 101YP2500X Counselor Professional (Licence: NC 7169) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2024-10-21 |