| NPI | 1053190454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BELL Owner 336-944-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-01-26 |