| NPI | 1699631960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETTA S QUICK Qualified Professional/Owner 336-989-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2026-01-05 |