| NPI | 1609088897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHRISTOPHER JONES CEO 704-361-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-01-26 |