| NPI | 1740775030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLAN WITHERSPOON Director 704-607-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 146D00000X Personal Emergency Response Attendant | |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 174200000X Meals | |
| 174H00000X Health Educator | |
| 225600000X Dance Therapist | |
| 225800000X Recreation Therapist | |
| 226000000X Recreational Therapist Assistant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |