| NPI | 1275047433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BOWMAN MCKINNEY Manager 828-773-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C01375) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2555) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2555) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 2555) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-06-16 |