| NPI | 1306350012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS L ROBINSON Owner 704-762-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8478) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2022-06-09 |