| NPI | 1336844091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN MILLER Clinical Mental Health Counselor 704-879-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-20 |