NPI | 1447726005 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA MADISON LOWE Chief Executive Officer / Owner 336-772-0103 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |