| NPI | 1245535210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHACONDA WILLAMS Owner 704-487-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-09-12 |