| NPI | 1356719710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MOORE Co Owner/Therapist 704-928-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C007005) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |