| NPI | 1205374196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA ROBINSON CEO 336-398-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |