| NPI | 1871033225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEENA YVETTE SPELLER Owner/Clinical Director 980-621-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2022-09-29 |