| NPI | 1689978686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DAVIS President 704-865-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-26 |