| NPI | 1144710229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA N. CAUTHEN Owner 704-433-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005932) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-05-18 |