| NPI | 1760768204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2020-09-14 |