| NPI | 1669148706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRITA LACHE CHAMBERS Owner/Therapist 704-345-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |