| NPI | 1306133491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA GALLENO Owner/Counselor/Life Coach 704-460-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC a8418) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QC1800X (Licence: NC a8418) | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services (Licence: NC a8418) | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC a8418) | |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |