| NPI | 1558809004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE SERVICES REEVES Owner 704-840-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7160) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7160) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-03-13 |