| NPI | 1346055589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA KENNEDY WITHERSPOON Owner 704-264-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |