| NPI | 1417435710 |
|---|---|
| Other Name | PORCELAIN DOLLS |
| Entity Type | Organization |
| Authorized Contact | LISA M LEE Executive Director 704-951-5987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2021-11-05 |