| NPI | 1144867789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M MOMAN Owner 828-553-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2022-04-28 |