NPI | 1780348789 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID N SMITH Owner 704-609-7334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
171M00000X Case Manager/Care Coordinator | |
251B00000X Case Management | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QP2300X Clinic/Center, Primary Care | |
261QP2400X Clinic/Center, Prison Health | |
261QV0200X Clinic/Center, VA | |
Enumeration Date | 2021-10-26 |
Last Update Date | 2021-10-26 |