| NPI | 1184264178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY TAYLOR Business Manager 704-502-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |