| NPI | 1508139932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MASON Therapist/Owner 704-258-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C007478) |
| Additional Taxonomies | 251S00000X (Licence: FL SW10498) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |