| NPI | 1073409520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY L SEAGREN Outpatient Therapist 704-246-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |