| NPI | 1588292593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRELLE ANTOINETTE DAVIS Owner/ Psychotherapist 910-835-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |