NPI | 1427502558 |
---|---|
Entity Type | Organization |
Authorized Contact | MARJORIE LUGIBIHL Clinic Coordinator 704-733-9934 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 238539) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10040A) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2022-07-21 |