| NPI | 1356210694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA ALEXIS JOHNSON Clinical Mental Health Counselor 704-577-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |