NPI | 1154366649 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSH MARTIN Executive Director 704-865-3529 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 253J00000X Foster Care Agency |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
251B00000X Case Management | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2024-01-23 |