| NPI | 1467340497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE BRUNSON CEO 336-457-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-10-14 |