| NPI | 1881138097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH DIANE MCDANIEL Licensed Prof Counselor Associate 336-255-5643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC A8254) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |