| NPI | 1184995813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BROWN Principal 704-567-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2013-12-20 |