| NPI | 1215474119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS BURRELL CEO/Owner 704-965-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |