| NPI | 1851590558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSSSANDRA EVETTE MILLER Psychotherapist 704-763-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C005101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2024-05-15 |