| NPI | 1275699613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P JOHNSON CEO 336-896-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-09-24 |