| NPI | 1386007854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA DEPASS President 704-315-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |