| NPI | 1699044438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE KELLY General Manger 704-909-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2012-01-05 |