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 |