| NPI | 1750623674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS CRAYTON CEO 704-956-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |