| NPI | 1043377278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN REDIEHS Senior Associate 704-788-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2296) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 526) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |