| NPI | 1841317450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERON MICHAEL COVIN Executive Director 336-774-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |