| NPI | 1437875531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA SPARROW Licensed Professional Counselor 336-265-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-20 |