| NPI | 1164847752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNY BERNATH CEO 704-258-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-07-19 |