| NPI | 1902137789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2018-03-29 |