| NPI | 1881788818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKO MOORE President 336-887-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-03-25 |