| NPI | 1972652469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY N JONES President 336-659-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 93-00168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2110) |
| 2084P0805X (Licence: NC 93-00168) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-10-05 |