| NPI | 1750926465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN BORCYK Owner/ Therapist 336-345-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |