| NPI | 1750593281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA MAYS GANTT Licensed Professional Counselor 704-968-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4417) |
| Additional Taxonomies | 251S00000X (Licence: NC 4417) |
| 101YP2500X Counselor, Professional (Licence: SC 4620) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-01-02 |