| NPI | 1376621656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI COPELAND STEED Sole Proprietor 336-475-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC C000583) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC LPC#760) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |