NPI | 1770869216 |
---|---|
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 | |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2018-03-29 |