| NPI | 1619613536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAE GADD Chief Services Officer 336-967-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2026-09-15 |