| NPI | 1750888038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CLARK MOORE CEO 336-391-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 00282458) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13571) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |