| NPI | 1346772571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE WULFF Owner/Therapist 336-485-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008462) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |