| NPI | 1790144277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O OWEN Licensed Professional Counselor Ass 704-604-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A9672) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |