| NPI | 1497205645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ERRICO Psychotherapist 704-507-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71048) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-01-27 |