| NPI | 1316514359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE ELIZABETH WILLIAMS Owner 704-412-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |