| NPI | 1740938067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SEALEY Owner 704-984-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-05-06 |