| 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 |