| NPI | 1942539010 |
|---|---|
| Doing Business As | TEEN HEALTH CONNECTION |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2023-03-09 |