| NPI | 1952615734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE LOUISE WASHINGTON CEO/Licensed Psychologist 336-896-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 2713) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2022-09-22 |