| NPI | 1891284675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA W SIMS Therapist/CEO 980-229-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 4135S) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-01-30 |