| NPI | 1063128288 |
|---|---|
| Former Legal Business Name | SONJA POOLE |
| Entity Type | Organization |
| Authorized Contact | SONJA DENISE POOLE Owner/Clinician 704-303-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |