| NPI | 1801946421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO STARK Office Administrator 828-697-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC MHL-045-070) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |