NPI | 1275146946 |
---|---|
Doing Business As | THE GATHERING PLACE WELLNESS AND COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | LAKEISHA NICOLE WARD Owner 252-314-7503 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
101YM0800X Counselor, Mental Health | |
251S00000X | |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |