| NPI | 1255580064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA DENISE JENKINS Owner 704-676-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5007) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |