| NPI | 1750343521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIEDA M LOWDER VP Physician Services 704-403-4146 |
| Organization Subpart ? | |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-06-01 |