| NPI | 1811567977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L DUNLEAVY Therapist/CEO 336-497-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-10-06 |