| NPI | 1336726116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRADLEY Owner/Provider 704-992-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-04-16 |