| NPI | 1851773360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE IRENE GOLDMAN Clinical Counselor 704-931-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009546) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2022-08-16 |