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 |