| NPI | 1437709482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIKA JOHNSON Owner/Therapist 704-421-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2022-07-28 |