NPI | 1538925128 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY A WILLIAMS Licensed Clinical Mental Health Cou 336-254-7634 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-02-22 |