| NPI | 1861146409 |
|---|---|
| Other Name | BEAUTIFUL MINDS ON DAISY STREET |
| Entity Type | Organization |
| Authorized Contact | SHARON P JOHNSON CEO 336-896-1323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |