| NPI | 1306981923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARDNER HAWKINS Principal 704-567-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC 8301351) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-05-30 |