| NPI | 1881858009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA LACEY EWING Mental Health Therapist 704-965-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC COO4626) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |