| NPI | 1427654334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIA-TONDA ELAINE BYERS Owner 704-629-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2022-01-06 |