| NPI | 1154809879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA E TATE-SCRUSE Proprietor, Clinician 704-957-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S9529) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-09-06 |