NPI | 1871176065 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE MARTIN PRESSLEY Licensed Clinical Social Worker 704-751-6584 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
251S00000X | |
Enumeration Date | 2021-05-04 |
Last Update Date | 2021-05-05 |