| NPI | 1124484621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMLIY LAUREN CANNON Owner, Therapist 704-352-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC C007032) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |