| NPI | 1801592472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM OLIGE President 704-277-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 251V00000X Voluntary or Charitable | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-05-01 |