| NPI | 1346519014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVIE LYNN WIDEMAN CEO 828-433-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2020-01-16 |