| NPI | 1902309214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIKA GRESHAM Owner 704-222-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |