| NPI | 1861251795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L REED Clinical Mental Health Counselor 704-685-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-18 |