| NPI | 1821496860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L MAGEE-KAKOURAS Member 704-560-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006451) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1395) |
| 1041C0700X Social Worker Clinical (Licence: NC C006572) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |