| NPI | 1548782691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SUE MCCLENAHAN President/Owner 704-740-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NC 9862) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-10-04 |