NPI | 1164022570 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLA JEFFERSON Owner 704-491-9482 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |