| NPI | 1558485011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLIND MOORE Counseling Supervisor 704-290-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005195) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |