| NPI | 1801233762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST Is Analyst 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |