| NPI | 1275821597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON GUNNING Owner 704-927-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-09-21 |