| NPI | 1740078930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE SUSKO Nurse Practitioner/ Owner 704-269-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-12-17 |