| NPI | 1285366708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUA DAVIS Owner/Clinical Director 704-593-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-07-05 |