| NPI | 1740648781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KOPETZKY Director Of Finance And Admin 704-927-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC MHL0601300) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC MHL0601300) |
| 363L00000X Nurse Practitioner (Licence: NC MHL0601300) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |