| NPI | 1649050345 |
|---|---|
| Doing Business As | CTSCD |
| Entity Type | Organization |
| Authorized Contact | HOLLY SHIVADECKER CFO 704-864-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |