| NPI | 1629416029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RULONDO TEHRAN ANDERSON Owner/ Clinical Therapist 704-252-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 9371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9371) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-03-04 |