| NPI | 1194219147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JAMES COWART Director 704-869-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 55083) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |