| NPI | 1982743381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKITA ANTOINETTE FORD Licensed Professional Counselor 704-408-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |