| NPI | 1962864520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY BUTLER Owner 336-269-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: NC 99NCFBPPC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 12018) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |