| NPI | 1134206212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST B. RUSHING Director 704-868-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C003757) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-12-04 |