| NPI | 1508842923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LANNETTE WILSON Chief Executive Officer 704-769-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000954g) |
| Enumeration Date | 2005-12-17 |
| Last Update Date | 2020-12-28 |