| NPI | 1699026674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEE ROBINSON Clinical Director 704-334-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LPCSS4536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LPC9117) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |