| NPI | 1720689888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANDA LASHAWN BANKS-MONTANEZ Owner/Therapist 910-922-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-10 |