| NPI | 1255539235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E TUTTEROW President 336-274-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: NC 200501663) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-06-19 |