NPI | 1780871293 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHIKO K DOWDY Owner 704-364-3989 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YP2500X Counselor Professional | |
103TC0700X Psychologist Clinical | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology Psychiatry | |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2007-09-28 |
Last Update Date | 2023-02-02 |