| NPI | 1679302418 |
|---|---|
| Former Legal Business Name | LCAS-A |
| Entity Type | Organization |
| Authorized Contact | STEFANIE DANITA WHITE CEO 704-984-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-08-16 |