| NPI | 1467064188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L FREELEY State Business Analyst & Contracts 704-953-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TS0200X Psychologist School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 253J00000X Foster Care Agency | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-12-31 |