| NPI | 1790913085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 103T00000X Psychologist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-07-01 |