| NPI | 1306687967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE HAITH Owner 336-858-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-25 |