| NPI | 1144667650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE R ROSEN-GRANDON Treasurer 336-292-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC LPCS2299) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |