| NPI | 1114528403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALORIE A WILLEMS Owner/Therapist 704-241-9746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2022-12-27 |