| NPI | 1629731328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JANE TAYLOR Lcmhc 336-665-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-09-06 |