| NPI | 1942233341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCDANIEL Clinical Therapsit 704-825-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4521) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-08-30 |