| NPI | 1588449680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW OWEN SIXBERRY Owner/Psychotherapist 336-663-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |