| NPI | 1750646931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY LOUISE MOSS Counselor 704-493-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8037) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2019-05-13 |