| NPI | 1366183600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L RATLEDGE Member/Owner 336-682-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |