| NPI | 1326311697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAGE RUSH Psychotherapist 704-975-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005000) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |