| NPI | 1174316319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA COURTS Owner, Member, Organizer 704-620-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-07-24 |