| NPI | 1770955486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA CREWS Owner 704-267-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9982) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2022-08-18 |