| NPI | 1235319914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE KENNEDY President 336-209-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 090018 (RN)) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2010-03-19 |