| NPI | 1457404709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LAMONT SEAGRAVES CEO 336-209-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 041746) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |