| NPI | 1174751465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2020-06-23 |