| NPI | 1659418952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA WIRTH Operations Director 704-597-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 101YP2500X Counselor Professional | |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-06-29 |