| NPI | 1568224186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC STEELE Owner 704-232-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |