| NPI | 1386357994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED BENNETT TILLMAN Owner, Clinical Director 704-388-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2024-11-20 |