| NPI | 1942343413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ANTHONY HILLIAN Director 704-604-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC MHL018074) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-08-01 |