| NPI | 1013784875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANDREA HUGHES Managing Member 336-392-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |