| NPI | 1346902426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYONA FRAYLON Owner 704-350-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |