NPI | 1902048432 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMELLA DIXON CREWS Owner 704-951-4053 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4629) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2018-03-17 |