| NPI | 1407204837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH COOPER Owner 704-617-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-02-15 |