| NPI | 1336914662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MARIE STEELMAN Authorized Official 704-506-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-02-22 |