| NPI | 1417609561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE WILSON-CHARLES Owner 865-973-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2023-03-20 |