| NPI | 1184005399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY PHILLIPS Marriage And Family Therapist 704-864-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1488) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |