| NPI | 1245722420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE JONES Licensed Clinical Social Worker 704-756-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 006281) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |