| NPI | 1760934681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS BURRELL Owner/Chief Executive Director 704-965-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |