| NPI | 1942669379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMERILLA B FYFFE Owner 704-773-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9406) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-1610) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: NC C002069) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |