| NPI | 1659134146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MARIE STEELMAN Secretary 704-506-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-22 |