| NPI | 1174994024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLISA MITCHELL Consumer Relations Specialist 704-200-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A11847) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |