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 |