| NPI | 1891236840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLIARD REESE CEO 704-201-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2005-00903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |