| 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 |