| NPI | 1801075510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANGELA M ERVIN Executive Director 704-426-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC MHL-060-1010) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |