| NPI | 1184458234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL RICHARDS Owner 336-412-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-10-12 |