| NPI | 1407373293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA NICHOLETTE HALL Ms, Lcmhc, Lcas A/Owner 704-419-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11893) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 22796) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 11893) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-04-06 |