| NPI | 1255808036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BREWINGTON Psychotherapist 704-879-1179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2020-08-03 |