| NPI | 1821320086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYNN G MEEHAN Owner/Clinical Consultant 704-763-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4130) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2011-03-11 |