| NPI | 1366115248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE DURHAM CFO 336-532-0125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |