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