| NPI | 1457861072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRICKA LASHAYE FAIR Executive Director 704-750-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 1484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1484) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-12-06 |