| NPI | 1396960985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN A MAYBECK President 704-342-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 2078) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-04-23 |