| NPI | 1720247570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE EDWARD SUTTON Executive Director 704-884-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: NC 3970) | |
| 253J00000X Foster Care Agency (Licence: NC DSS-5146A) | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-02-01 |