| NPI | 1639247026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHETT MELTON Area Director 704-867-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 91) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C001132) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |