| NPI | 1871203224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNAMARIE GALLAGHER Owner 336-816-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-06-06 |