| NPI | 1801309638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERILLE DENISE BARBER Owner 704-301-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 6571) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-11-05 |