| NPI | 1548770480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE CRUTCHFIELD Therapist 336-442-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NC C006190) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-12-18 |