| NPI | 1215211248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA MAYS GANTT Therapist/CEO 704-968-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 4417S) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |