NPI | 1922533488 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY RAY WEST CEO President 704-939-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
103T00000X Psychologist | |
103TC0700X Psychologist Clinical | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology Psychiatry | |
363AM0700X Physician Assistant Medical | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2018-06-12 |