| NPI | 1598717472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOSEPH DELUCA Director 704-864-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC C000132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: NC 3588) | |
| 101Y00000X Counselor (Licence: NC 3726) | |
| 101Y00000X Counselor (Licence: NC 6682) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-12-16 |