| NPI | 1154838217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CROSIER Owner 980-500-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C007792) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-28 |