| NPI | 1932529252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE DENNARD SMITH Administrative Director 704-267-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |