| NPI | 1154018794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH UTLEY Member/Organizer 704-802-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |