| NPI | 1114406253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MCNEILL Owner/Clinical Director 704-705-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10867) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |