| NPI | 1093172694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DENINE SMITH Chief Executive Officer 704-690-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 8727) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 8727) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |