| NPI | 1477687226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L. EDWARDS-GAYFIELD Owner 704-737-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC#5777) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4569) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-10-08 |