NPI | 1073374922 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTYN BLY Owner/Therapist 704-293-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-18 |
Last Update Date | 2024-08-28 |