| NPI | 1346820909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH ELIZABETH DOUB Therapist Owner 336-794-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-06-22 |