| NPI | 1497144703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA A FORD Mental Health Professional, Owner 704-315-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-01-21 |