| NPI | 1912164310 |
|---|---|
| Doing Business As | CANNON BLVD FAMILY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | FRANCES REBECCA HALL Executive Director 704-332-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL013144) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |