| NPI | 1346301660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY GORDON COTTLE President 336-292-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |