| NPI | 1114001088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCOTT CORBETT Clinical Director 704-566-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 6005700) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |