| NPI | 1316725534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DIXON Owner/CEO/Therapist 336-252-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |