| NPI | 1396277414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSHER AHLUWALIA CEO 336-908-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |