| NPI | 1699412882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANDRA BANKS HOPPER Owner, Lead Therapist 704-813-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |