| NPI | 1922248376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA MICHELLE MASON Executive Director 704-548-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4355) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2010-02-01 |