| NPI | 1396918181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA DANIELLE WILSON Therapist 336-327-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 6849) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2016-01-20 |