| NPI | 1811599475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY NICHOLE BODWELL Owner/Therapist 336-892-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2021-06-04 |