| 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 | 101YM0800X Counselor Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |