NPI | 1588956403 |
---|---|
Other Name | CLYDE MSG |
Entity Type | Organization |
Authorized Contact | JOHN KOPPELMEYER President/CEO 704-872-4157 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-05-11 |
Last Update Date | 2011-05-11 |