| NPI | 1932054640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONISHAWA JONTAY DANIELLE IVORY Mental Health Counselor Associate 704-426-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |