| NPI | 1639539893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI DALE WOODGEARD Managing Member, Therapist 336-804-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 51178) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |