NPI | 1659562056 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARENCE DEREK LITTLEFIELD Clinical Director/Owner Operator 704-651-6512 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3784) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |