| NPI | 1073284162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY BLAIR ICENHOUR Owner, Therapist 828-719-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |