| NPI | 1063286649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIA MCDANIEL Owner 336-709-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2024-01-08 |