| NPI | 1356114169 |
|---|---|
| Doing Business As | ACE OF HEARTS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN COCKERHAM Owner 336-977-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |