| NPI | 1043761562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA GALLENO Coach And Counselor 704-460-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC LPCA A 8418) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC REGISTERED 2495) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |