| NPI | 1033689724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARNESE ALLEN Owner 336-823-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |