| NPI | 1205341112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHA D USHRY Owner/Therapist 910-333-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11560) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2019-02-27 |