| NPI | 1750012977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA POPE LOVE Therapist/Owner 336-722-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-10-21 |