| NPI | 1508669573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKINA ALSTON Owner/Sole Nurse Practitioner 704-412-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-06-06 |