| NPI | 1427827666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY J DANIEL Counselor/Owner/Clinical Director 336-705-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |