| NPI | 1952852238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA THOMPSON Director/Therapist 336-269-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003124) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |