| NPI | 1386059111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA M EVANS Mental Health Counselor 336-416-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA ASW34900) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |