| NPI | 1992015077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES COLBERT President/CEO 704-840-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |