| NPI | 1073827861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD POWELL Executive Director 704-487-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2021-11-15 |