| NPI | 1194097733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PAYNE GREENE Licensed Clinical Pastoral Counselo 336-855-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral (Licence: NC 0997348) |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2012-01-28 |