| NPI | 1457762650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEG FICKLING VANDERBILT Exec Director 704-862-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2014-05-11 |
| Last Update Date | 2022-11-08 |