| NPI | 1790357622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD HUBERT Lcsw 336-332-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-10-11 |