| NPI | 1740159375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALISE MAE ANDERSON Licensed Clinical Social Worker 336-287-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |