| NPI | 1588961080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ROSE FRANKLIN Owner 704-236-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC LMFT #1321) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC LPC #7735) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |