| NPI | 1467897306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAMS Organizer 704-345-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |