| NPI | 1578912028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY BROWN PEARSON Owner 704-773-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5788) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8236) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |