| NPI | 1174758072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCOTT YOUNG Licensed Professional Counselor 336-334-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |