| NPI | 1235272717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ANTHONY HILLIAN Director 704-283-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC MHL090141) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-09-03 |