| NPI | 1558548115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE SMITH ESTES Owner 336-402-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC MHL-041-846) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |