| NPI | 1356743678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAL GARVIN PEOPLES Clinical Director 704-449-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC SW1056) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC SW1056) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |