NPI | 1881465193 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH SMITH Organizer And Member 336-830-5481 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-01-15 |