| NPI | 1164878880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK ASHHALI Owner, Clinical Therapist 704-891-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009966) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3040) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-04-06 |