| NPI | 1760808422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS WEBB Executive Offficer 704-215-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TR0400X Psychologist, Rehabilitation | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| 172A00000X Driver | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2019-08-22 |