| NPI | 1508336322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST CEO,President 704-939-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2021-03-11 |