| NPI | 1811570740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW ROUNDTREE Owner 704-454-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-01-20 |