| NPI | 1578043386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HAGLER KING Owner 704-795-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011532) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-08-12 |