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 |