| NPI | 1316129984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELANDRA SHAWNTE MOORE-QUARLES Executive Director 704-405-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5529) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2010-01-05 |