| NPI | 1215769880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEI BROWN Member, Manager 336-287-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |