NPI | 1245625813 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID N SMITH Owner 704-635-6071 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NC 1837) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
261QP2400X Clinic/Center Prison Health | |
261QV0200X Clinic/Center VA | |
261QM0850X Clinic/Center Adult Mental Health | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2021-10-26 |