| NPI | 1649503269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEBA STOWE Owner 704-674-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |