| NPI | 1699200170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRIS D BELL Licensed Clinical Social Worker 704-301-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C0009752) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-07-03 |