| NPI | 1104157213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN F IGWILO CEO 704-675-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |