| NPI | 1730406935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA R JAMES Owner/Clinical Director 704-726-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9295) |
| 101YP2500X Counselor, Professional (Licence: NC C005793) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2016-08-26 |