| NPI | 1265190706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MONIQUE ATKINSON Owner 704-936-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |