NPI | 1184962730 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANA MCCAIN Sole/Mbr 704-433-5267 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005932) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC C005932) |
1041C0700X Social Worker Clinical (Licence: NC C005932) | |
Enumeration Date | 2013-01-16 |
Last Update Date | 2013-01-16 |