| NPI | 1720124829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M HARGROW Psychologist 704-717-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 2409) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 2409) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005010) | |
| 251B00000X Case Management (Licence: NC 2409) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-01-16 |