| NPI | 1730565409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST Is Analyst 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-01-22 |