| NPI | 1003612805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERITA JOHNSON WALKER President 336-350-1893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2026-05-01 |