NPI | 1023672474 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK COLLINS Owner 336-686-4684 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |