NPI | 1588961080 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA ROSE FRANKLIN Owner 704-236-5147 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC LMFT #1321) |
Additional Taxonomies | 251S00000X (Licence: NC LPC #7735) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2011-02-17 |