| NPI | 1316651490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAMS Manager 336-542-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |