| NPI | 1710716097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FEELING Licensed Clinical Psychologist 336-944-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |