| NPI | 1558335679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A RUSS President 704-752-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 994) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 2886) |
| 103T00000X Psychologist (Licence: NC 2266) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2025-09-11 |