| NPI | 1700631066 |
|---|---|
| Former Legal Business Name | MENDING PEACES LLC |
| Entity Type | Organization |
| Authorized Contact | SHAMEKA KNOTTS Manager 704-699-3347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-20 |