| NPI | 1447860671 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SABRINA R JOHNSON Licensed Mental Healt Counselor 704-490-0877  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-08-03 | 
| Last Update Date | 2020-08-03 |