| NPI | 1376263244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDRA SLADE Licensed Clinical Social Worker 336-253-1406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |