| NPI | 1154635290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYA JENKINS Chief Operating Officer 704-918-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |