| NPI | 1083022321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE MILLER President 704-954-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10952) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 10952) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2015-11-10 |