| NPI | 1578397485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE OLIVIA TRONE Licensed Clinical Psychologist 336-420-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |