| NPI | 1750870408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA GARRAWAY Supervisor And Psychotherapist 704-830-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2021-11-01 |