NPI | 1871879304 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2018-03-23 |