NPI | 1205425733 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISTIAN WEBB CEO, Principal Psychotherapist 336-441-7392 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
171M00000X Case Manager/Care Coordinator | |
251B00000X Case Management | |
Enumeration Date | 2021-01-11 |
Last Update Date | 2021-01-11 |