| NPI | 1407163462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HUNT Executive Director 704-567-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 8075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8075) |
| 251S00000X Community/Behavioral Health (Licence: NC 8075) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |