NPI | 1629702378 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISHA JOHNSON Owner 910-939-0798 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-07-10 |
Last Update Date | 2022-07-10 |