| NPI | 1295055531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W BROWN Principal 704-567-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2013-11-04 |