| NPI | 1043424013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A WILLIS President 336-716-0858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-10-09 |