| NPI | 1457958779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WYLIE CEO 704-396-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-10-18 |