| NPI | 1548019755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENJONAE ANDERSON Owner 336-609-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-18 |