| NPI | 1205523917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAIL MCMILLAN Clinician/ Owner 336-329-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |