| NPI | 1568050573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE TIARA HOYLE CEO 336-254-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QP2300X Clinic/Center, Primary Care | |
| 342000000X Transportation Network Company | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-08-16 |