| NPI | 1699090662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN REEVES CODRINGTON Owner/Clinical Director 704-566-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006232) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C006232) |
| 101YP2500X Counselor, Professional (Licence: NC C006232) | |
| 102L00000X Psychoanalyst (Licence: NC C006232) | |
| 1041S0200X Social Worker, School (Licence: NC C006232) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2011-08-30 |