| NPI | 1760169098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVETTA L JONES CEO 336-782-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-07-05 |