| NPI | 1619372190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANNE BAKER Owner 828-342-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH3564) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |