| NPI | 1861839136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST Executive Director 704-939-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |