NPI | 1295981629 |
---|---|
Entity Type | Organization |
Authorized Contact | ROB NICOLAI Billing Manager 828-670-7723 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103T00000X Psychologist | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TC0700X Psychologist, Clinical | |
103TP0016X Psychologist, Prescribing (Medical) | |
103TR0400X Psychologist, Rehabilitation | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |