NPI | 1306122833 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2011-11-04 |