| NPI | 1174897391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY N USSERY Owner 704-300-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171M00000X Case Manager/Care Coordinator | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2023-04-10 |