| NPI | 1831855923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE WILBURN Mental Health Counselor 704-663-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |