| NPI | 1538609185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA HUGHES TABOR, LCMHC Licensed Clinical Mental Health Cou 336-684-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6630) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-11-13 |