| NPI | 1184139586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT KAWON MOSES Owner/CEO 704-901-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| 251S00000X | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |