| NPI | 1356706428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REAVYN N WILLIAMSON Licensed Professional Counselor Aos 336-327-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC A12118) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |