| NPI | 1699266445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DANIEL WOODBURY Owner And Licensed Therapist 336-457-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A13656) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20411) |
| 101YM0800X Counselor, Mental Health (Licence: NC A13656) | |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2018-05-27 |