| NPI | 1336944370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER QUILLEN Payer Relations 704-271-1213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-08-19 |