| NPI | 1518722958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE DEWESE Clinical Mental Health Counselor 704-727-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |