| 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 |