| NPI | 1154808293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH N PHILBECK Owner 704-692-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2022-05-19 |