| NPI | 1972849065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN VANDERHALL Lpcs/Owner 704-995-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S3910) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |