| NPI | 1336552314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O OWEN Licensed Professional Counselor Ass 704-947-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC A9672) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |