NPI | 1215208657 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CHRIS JERNIGAN Executive Director 828-584-1105 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
101YP2500X Counselor, Professional | |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2012-01-17 |
Last Update Date | 2019-05-17 |