| NPI | 1659946804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN HATCHER President 336-716-0858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-12-05 |