| NPI | 1376681551 |
|---|---|
| Other Name | MENTAL HEALTH PROVIDER |
| Entity Type | Organization |
| Authorized Contact | KAREN KOWA Insurance Coordinator 828-687-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 1452) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |