| NPI | 1548607682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST Executive Director 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |