| NPI | 1043692809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SUBER Director 704-289-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A11668) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-05-25 |