| NPI | 1639516610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST Executive Director 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |