| NPI | 1023316361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O BEAUDOIN Co Owner 704-833-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2018-06-21 |