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 |