| NPI | 1932874799 |
|---|---|
| Former Legal Business Name | ROOTED THERAPY P.C. |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY RATAJCZAK Clinical Director/Owner 704-837-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |