| NPI | 1790003481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CRUMP Executive Director 704-548-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-10-15 |