| NPI | 1255729042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R SNIDER Executive Director 704-376-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |