| NPI | 1245852433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NICOLE BARNETTE Licensed Professional Counselor 276-233-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |