| NPI | 1538641485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEFEAVERS Owner 336-408-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC PC15349) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2022-04-18 |