| NPI | 1871480970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA JARVIS Clinical Mental Health Therapist 704-741-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-26 |