NPI | 1174672802 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA DENISE BAKER Director 336-884-8658 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3681) |
261QM0801X | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2022-06-28 |