| NPI | 1124218243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARIE WHITE CEO & Executive Director 336-784-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-08-22 |