| NPI | 1083301469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA M KING Owner/Managing Member 704-313-8578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |