| NPI | 1700456878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE D DUNBAR Director 704-780-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |