| NPI | 1629461959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY LEWIS-DODD Psychotherapist 336-645-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A11260) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |