| NPI | 1467542134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELENA DITZ Director Of Community Services 704-484-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-03-14 |