| NPI | 1477961506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA JOSEY Licensed Clinical Therapist 704-438-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10738) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008678) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2023-02-08 |