| NPI | 1710402227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHOGANY HALL Owner/Clinical Psychotherapist 704-307-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |