| NPI | 1346573417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDACE KOONTZ PERRYMAN Owner, Psychotherapist 336-885-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4873) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |