| NPI | 1780480202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE MICHELLE COMBER Owner/Operator 704-251-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |