NPI | 1235609538 |
---|---|
Other Name | CLINICAL SOCIAL WORK |
Entity Type | Organization |
Authorized Contact | MARILYN TATHAM Provider Enrollment Manager 828-651-6595 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-11-29 |
Last Update Date | 2018-11-30 |